Objective: Pain Control

Objective: pain control. Tortuous optic nerve on MRI taunts. Pain out of proportion. We give you the benefit of the doubt. Torturous, optic nerve on MRI haunts. Headache persists despite lumbar puncture. No doubt you would benefit. Migraine cocktail started. Headache persists despite lumbar puncture: second, then a third migraine cocktail started. No relief. Second, then a third request: “more narcotics.” No relief: pages and tears to the overnight team. Request: “more narcotics.” Desperate to placate, to avoid pages and tears, the overnight team sometimes relents. Desperate not to vacillate, to avoid narcotics abuse, we say no. Sometimes pain relents, but relief is incomplete. Narcotics abuse? You say, “Never!” IV regimens complete, but relief remains incomplete. New requests for narcotics. Oral regimen stable: otherwise, stable for discharge. No requests for narcotics, “Just sleep” in the hospital is all you want. Otherwise stable for discharge, you leave AMA in the middle of the night. Was sleep in the hospital all you wanted? Subjective perception: escape since you left AMA in the middle of the night. Pain out of proportion. Subjective perception escaping objective pain control.